Organization
DR ERIC T BROOKER PC
Active
Other names
Advantage Family Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC T BROOKER O.D. (PRESIDENT/OWNER)
(702) 212-7755
Entity
Organization
Contact information
Practice address
5269 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 212-7755
(702) 795-0646
Mailing address
5269 S EASTERN AVE, LAS VEGAS, NV 89119-2311
(702) 212-7755
(702) 795-0646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV439
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386796969
NPI
NV
01
—
V36513
PROVIDER NUMBER
NV
Enumeration date
05/27/2008
Last updated
07/17/2008
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